摘要
寸口脉诊始于《难经》成熟于《脉经》。医圣张仲景据脉辨证论治,独领风骚两千年。而脉诊“内照脏腑、洞微病灶”却只是史书的只言片语且难以验证。《扁鹊仓公列传》中有“扁鹊以其言饮药三十日,视见垣一方人,以此视病,尽见五脏症结”,《左传·成公·成公十年》载:秦时名医秦缓,脉诊“洞微膏肓”,笔者经研究认为:这是中医学早于西方医学2000多年的徒手诊断,是个体医学进入脏器医学层次的飞跃。现代医生借助仪器看到了内脏、病灶,识别了病理,而中医2000多年前就以脉诊洞观。现代脉诊以“形”诊病,类似于物理检查的图像诊断,文章介绍的脉诊技法有利于中医诊断与现代医学诊断相兼容。中医辨病证治(脉形诊病、脉气辨证)将进一步再现中医站得高、看更远、揽的全,是中医科学化的具体实践。
Cunkou Pulse diagnosis began in the‘hard classics’mature in the pulse.Saint ZHANG Zhong-jing of medicine had been treating patients according to their pulse for Clueless.However,the pulse diagnosis of‘internal organs,cavity micro-lesions’is only a fragment of history books and difficult to verify.In Bianque Canggong Liezhuan,it is said that‘for 30 days,Bianque drank medicine with his words and looked at one of the people in the wall.In this way,he could see the crux of the five viscera’.In Zuozhuan·Chenggong·Chenggong Shinian,it is written that Qinhuan,a famous doctor in the Qin Dynasty,was diagnosed with‘a small and incurable disease’in his pulse,the author thinks that this is the freehand diagnosis of traditional Chinese medicine which is more than 2000 years ahead of Western medicine,and it is the leap of individual medicine into the level of viscera medicine.Modern doctors see viscera,lesions and recognize pathology with the aid of instruments,while traditional Chinese medicine looked at pulse diagnosis more than 2000 years ago.Modern pulse diagnosis is based on‘shape’,which is similar to the image diagnosis of physical examination.The pulse diagnosis technique introduced in this paper is beneficial to the compatibility of TCM diagnosis and modern medical diagnosis.TCM syndrome differentiation and treatment(pulse-shaped diagnosis,Pulse-qi syndrome differentiation)will further reproduce TCM stand high,look farther,comprehensive,is the specific practice of scientific TCM.
作者
许跃远
XU Yue-yuan(Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2020年第7期3488-3489,共2页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
寸口
中医诊断
脉诊
脉“形”
病灶
Cunkou
TCM diagnosis
Pulse diagnosis
Pulse‘shape’
Lesion
